推进社会护理与社区卫生工作者在卫生系统中的整合:一个基于纽约布朗克斯的实施评估
Kevin P Fiori1,2, Samantha Levano3,4, Jessica Haughton3,4
1Department of Pediatrics, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA. kfiori@montefiore.org.
BMC primary care
|April 27, 2024
概括
社区卫生工作者 (CHWs) 成功将69.2%的患者与社会服务联系起来,改善了健康公平. 需要进一步的研究来优化CHW在临床团队中的整合,以解决与健康相关的社会需求 (HRSNs).
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 卫生系统越来越多地选与健康相关的社会需求 (HRSNs).
- 社区卫生工作者 (CHW) 对于将患者与社会服务联系起来至关重要.
- 这项研究评估了一项为期12个月的CHW整合计划,用于纽约州布朗克斯县的初级保健患者.
研究的目的:
- 评估将CHW集成到HRSN导航中的有效性.
- 通过RE-AIM框架评估CHW干预的实施过程和结果.
- 确定CHW整合对患者获得社会服务的影响.
主要方法:
- 使用RE-AIM框架来衡量覆盖范围,有效性,采用,实施和维护.
- 收集了2022年10月至2023年9月期间患者自报HRSN的数据.
- 采用描述和推断统计分析RE-AIM结果和患者特征.
主要成果:
- 成功联系并参与了69.2%的转诊患者与CHWs.
- 78.1%的参与患者报告说,他们获得了必要的社会服务.
- 通过电子订单的CHW转介是及时的 (平均11天) 和具有成本效益的 (184.02美元/家庭/年).
结论:
- 综合性CHW模型显著改善了患者获得社会服务的机会.
- 进一步的研究是必不可少的,以确定障碍和促进者,以使CHW最佳地融入临床环境.
- 医疗卫生保健计划展示了一种有前途的方法来解决HRSNs和促进健康公平.
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